Individual
DR. INDIANA CASTRO AUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2201 HEMPSTEAD TPKE, EAST MEADOW, NY 11554-1859
(516) 572-5100
Mailing address
11535 MAIN RD, MATTITUCK, NY 11952-1687
(631) 298-5021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
061435
NY
Other
Enumeration date
03/31/2019
Last updated
12/08/2020
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